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HomeMy Public PortalAbout9575 BROADWAY_Plumbing__ 7BA667 -CER8I7 9/63 / /� / j_ APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS 9575 Broadway JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN cROSSSST. Temple City Blvd. NUMBER FIXTURE OR ITEM EACH FEE OWNER Noel :Baldwin 24 WATER CLOSER $1.45 30 00 MAIL - 8 BATH TUB 1.25 10 00 ADDRESS: � 41116 Baldwin-Blvd, 8 SHOWER 1.25 0 00 CITY El MO TEL NO. ' 24 LAVATORY 1.15 0 00 CONTRACTOR Owen Bros. Plumbin SIN%' 1.25 10 00 ADDRESS 26 N. Baldwin 8 DISHWASHER 1.25 10 loo CITY El Monte TEL. NO. -00 8 (7[ CONTRACTOR'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. 231741 COUNTY ❑ 8 CLOTHES WASHER 1.25 10 00DISTRICT NO. GROUPSF3ptlE. CESSED BY 8 WATER HEATER 1.50 12 00 �dC [i Y 8 GAS SYSTEM_5 OUTLETS 1.50 12 00 INDUSTRIALWASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 3t V !h/ lt, 425 _ 7 —oat/a �sac�f .<.1� AA t—' �1 APPROVALS V DATE INSP CTOWS Si GNATURE PERMIT S 2 ]OF UNDER SLAB WORK J-1 P O ROUGH PLUMBING �Q TOTAL FEE 136 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICGAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULHOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANPLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATGAS TESTCALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTENRESIDEN,TE ABOV EE IBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED / SIGNATURE iA OF PERMITTEE t ,FINAL � VALIDATION ROBERT A. WOOD M o. cnsH SUPERVISING MECHANICAL ENG'R LA's 1 4 8 2 r1AY 11 5 D 13 6.0%0 76A667 _ CES17 5/70 CITY OF TEMPLE CITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES 21008 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 9575-3 Broadway JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple Ci FOR APPLICANT TO FILL IN PR NT OR TYPE) NE csossESsr. Lower Azusa & Baldwin NUMBER FIXTURE OR ITEM EACH FEE °`°NER F. Abel WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS Same SHOWER 1.50 CITY TEL. NO. LAVATORY 1,50 CONTRACTOR GENERAL INSTALLATION CO. SINK 1.50 ADDRESS 6558 WEST BLVD. 1 DISHWASHER 1.50 1 75 CITY Los Angeles TEL. NO. PL 3-2541 CLOTHES WASHER 1.50 LICENSE NO. C 36 151839 CLASS SWIMMING POOL RECEPTOR 1.50 DI6TRI C'[NO,_ / GROVP E P O 66 BY LAWN SPRINKLER SYSTEM 2.00 LJ�� Vy ' 1 CL �p WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL ^ GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD �V! 5 PERETS SYSTEMR .30 Ready for Inspection Now z WATER SOFTENER 0 W n. rn z Plan check fee 25% of above. See reJA�LICAT.ON PLUMBING PERMIT ISSUING F TOTAL F4 75 APPROVALS DATE INSPECTOR'5 SIGNATURE Plan Check applicantUNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE RIS APPLICATIONAND STATE THAT THE ABOVE IS CORRECT AEE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STAS REGULATING GAS TEST PLUMBING. 1HEREBYCERTIFY THAT 1 AM PROPERLTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES CAND STATE OFCALIFORNIA OR THAT 1 AM THE LEGAL OWNND INTEND TORESIDE IN,THE ABOVE DESCRIBED REB HTI RT r. FINAL xml;,r /rte, _Zz SIGNATURE • JACK R. ALLEN, s PERVISIN CH 4NICAL ENG-R. OF PERMITTEE PERMITVALID TIC1N CK. M.O. CASH PLAN CHECK VALIDATION CK. M.o. CASH - �/ 4.75"- , L1l+D 0 0 v S P 2 / 7 D A-F./:/ 5"- c 76A667 -CE*817 5163 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERi atN BUILDING AND SAFETY DIVISIONRES -7� ICOUN JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING ALITY FOR APPLICANT TO FILL IN REST SS ST.NUMBER FIXTURE OR ITEM EACH FEE NERWATER CLOSET SI.25 ,I (BATH TUB 1.25 RESS 4l C At--©�3 LSHOWER I CITYTEL. NOLAVATORY 1.25 SINE 1.25 ADDRESSDISHWASHER 1.25 CITY ) TEL. NOLAUNDRY TUB 125 CONTRACTOR'S /�- '37REGISTRATION NO. L JJ'�22 CLOTHES WASHER 1.25 DISTRICT NOQ� GROUP/ ZONE PROCE6SE Y WATER HEATER 1.50 �,l S L1 -p© L r CAS SYSTEM OUTLETS i'S v INDUS APPROVAL O OUT OVEH 5 PER SYSTEM .90 V INSPECTION RECORD z Z APPROVALS DATE _INSPECTOR'$SIGNA URE PERMIT S 'L 00 UNDER SLAB WORK 4��rj fFp ROUGH PLUMBING 4 I`4-t- TOTAL FEE � GAS PIPING /a/G ��) HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND GTATE THAT TXE ABOVE IS CORPECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST • r�jl, CALIFORNIA OR TH 1 AM THE LEGAL OWNER OF,AND INTEND TO PE51DE IN. THE ABO E DEGC R IB 5PENTIAL PROPERTY. UTILITY CO. NOTIFIED v SIGNATURE 1 _ _. OF PERMITTEE "`��� �C..�G' FINAL LIDATION ROBERT A. WOOD CASH SUPERVISING MECHANICAL ENG'R L9Lo5506` VP 15 5 D 5.00- 7BA667 -CEA81] 12-64 `S[ APPLICATION FOR PL MBING PERWIIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS I JOHN A. LAMBIE, COUNTY ENGINEER51 COLEMAN W. JENKINS, SUPT OF 8111-1111 ,_ LOCALTTY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 LAVATORY 1,25 CONTRACTOR / r SINE 1,25 ADDRESS �� ,w }-, DISHWASHER 1.25 CITY 871 TEL. NO.2�.1�G3 -OU /? CONTRAC OR'S (�3 t— C/./ STATE COUNTY ❑ LAUNDRY TUB 1.25 REGISTRATION NO. T CLOTHES WASHER 1.25 DIBTRIGT NO. GROUP Z E P SED BY WATER HEATER 1.50 -/ GAS SYSTEM -5, OUTLETS 1.50 3 00 INDUSTRIAL WASTE APPROVAL d 9-0 OUTLETS OVER 5 PER SYSTEM .00 6 OC• INSPECTION RECORD V O F V W a N 2 APPROVALS DATE INSPECTORs SIGNATURE PERMIT IS 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING y aaiuL HEREBY ACKNOWE LbGE THAT I HAVE READ THIS APPLICATION I ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER FLU MRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICE AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ��� CALIFORNIA OR THAT AM TXE LEGAL OWNEq OF.ANO INTEND TO RESIDE IN, THE ABOVE SLRI RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED , n' SIGNATURE OF PERMITTEE FINAL �V'ALI0. ROBERT A. WOOD M. J CK. I M.o. CASH SUPERVISING MECHANICAL ENG'R U8 2 1 8- DEM2 2 5 D 1 1.00- WORKERS' Ihave9SATION,DECLARATION 20-0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT Hereb Ffirm that have .�rtificdte of consent to self in- 76A667A sure,or a certificate cf Workers'Compensation Insurance,ora certified copy thereof (Sec. 3800, Lab. C.) - - - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /a,�n�� Certified copy is filed with the county building inspection ADDRESS /c.(/ N department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) I NEAREST CERRFICATE OF EXEMPTION FROM WORKERS', BATH TUB /O CROSS ST. COMPENSATION INSURANCE SHOWER OWNER O (This section need not be completed If the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS /T V I certify that in the performance of the work for which this per- SINK CITY / TEL. NO. mit is issued, I shall not employ any person in any man r so as to beco a sub' ct to theZerens,tion L DISHWASHER GY � CONTRACTOR Dat%j ( ApCLOTHES WASHER o / A NOTI E TO PPLICANT: If, a Certificaterof Ex- ADDRESS yemption,you should becomWorkers'Compen- SWIMMING POOL RECEPTOR ���/ �' CITY TEL. NO. Y saticn provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE / (/ IIC. ed. WATER HEATER LICENSE NO (� j' CLASS LICENSED CONTRACTORS DECLARATION - DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter _ GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force an ef- 5 PER SYSTEM IFINAL .VALIDATION fect // yn{, µ,/�� HOSE BIB ATE License N e s� c/ Lic. Class c/ ACCT. a / FINAL O Contr r r 'e�� BY ;3�7J �.60¢ a xempt under Sec. G B.sP.c. for this reason T4TA� ITEt1S,� _60 W Plan check fee a Date: PLUMBING PERMIT ISSUING FEE $ O ► OECY 75.60 i Signature ' TOTAL FEE (00CWGE .00 SINGLE FAMILY Plan check applicant HOMEOWNER-BUILDER DECLARATION pP I hereby affirm that I am exempt from the Contractor's License Name M-0001 9/11/95 Law for the fallowing reason (Section 7031.5, Business and 1E 15 1 AI110�10 Professions Code): 'Address I, as owner of the property, will do the work and the City Tel. Nor structure is not intended or offered for sale(Section 7044, Business and Professions Code). - , i CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ' (Sec. 3097, Ci, C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County , ordinances and State laws regulating Plumbing, and hereby _ auth4el, resenedlRrop r r for inspection Aur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE ' nature of Permittee ate WORKERS'COM PENSATION DECLARATION $1w I APPLICATION FOR PLUMBING PERMIT I hereby affm CE irthat 1 have a' certificate of consent to self cc en Iz-eo insure, or n certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY ,Policy No. Company n/// Certified c py is hereby furnis FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUIL MBER FIXTURE OR ITEM • FEE ADDRESS 4S`7 j LjA ,IS`J Certifie copy filed with t e count building ins ection ar I LOCALITY WATER CLOSET Dat A�licant NEAREST BATH TUB CROSS ST. ERTI KATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCESHOWER OWNER (This section need not be completed if the work involved LAVATORY MAIL by the permit is for one hundred dollazs ($100) or less.) ADDRESS >_ SINK CITY TEL. NO1 1 certify that in the performance of the work for which this DISHWASHER '�� 0 permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER rj^ ADDRESS (33 Dale Applicant lCflSWIMMING POOL RECEPTOR i— W NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL. NO Q-) S Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. N Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO. oL 4 I d CLAPS Z with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. O ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm.that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ) r p/ VALIDATION ness and Professions Code, and my license is in full force and DATE I 6 effect. License'Number Lic.Class V By AL Contractor fT_ Dat I am exempt from the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that 1 am exempt from the Contractor's Address License Law for the following reason (Section 70 31.51 Busi- City Tel.No. ness and Professions Code): 3 Jr a 1 .A 1, as owner of the property, am exclusively contracting # °-° ° ° ° 5 with licensed contractors to construct the project (Section 7044, Business and Professions Code). p ° ° } 0,00 CONSTRUCTION LENDING AGENCY r• p ° ° ° 1 0,0 0 6 I hereby affirm that there is a construction lending agency 0xt A iq r"4 for the performance of the work for which this permit is h0, S issued (Sec. 3097,Civ.C.). ttafs ° '°si{a� L 9 ° 12,3 1 —8 0 Lender's Name YY C 'aY Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize reoorr�� .tires of this Count to enter up the ve- tenoned prope for insp cn rpo�ses�. Signature o rmitiee Date / COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING-PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS CPL-0508-9807230002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: F-Elff PAID BUILDING-ADDRESS: TR: 30243 UN: 3 9575-13ROADWAY-3' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803160 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-005-037 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 07/23/98 UT 7"/23/99 OWNER: TEL. NO: FINALATE FINAL BY: CODE: LEE ALBERN H;NORINA P (626) 285-2495- 9575 BROADWAY TEMP 917803160 DESCRI ION OF WORK C_CHANGE-OUT-OF-WATER-HEATER APPLICANT: TEL. NO: MARSH PLUMBING (818) 407-1247- 7229 VARNA ST. SPECIAL CONDITIONS: N. HOLLYWOOD,CA CONTRACTOR: TEL. N0: gPPROVRLS DATE INSPECTOR SIGNATURE MARSH PLUMBING (878) 407-1247- 7229 VARNA AVE. LIC. NO -� UNDER SLAB WORK NORTH HOLLYWOOD, CA 91605 14772B/L * - /' WATER SERVICE r- PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: �; L ROUGH PLUMBING LIC. NO: ' r-_._�� t GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS T ST UTILITY COMPANY OTIFIED CWV u y GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508